Home|Journals|Articles by Year

Directory for Medical Articles

Case Report

JCDR. 2013; 4(1): 65-67

Severe hypertension in elapid envenomation

Ramachandran Meenakshisundaram, Subramanian Senthilkumaran, Martin Grootveld,Ponniah Thirumalaikolundusubramanian.


Snakebite is not an uncommon medical emergency in India; however, symptoms of autonomic
dysfunction in snakebite are rare. The elapid snake envenomation is a frequent occurrence in India, and
the krait bite is prevalent in the south Indian region. Here, we present three cases of snakebite with
severe hypertension and requiring intravenous nitroglycerin (NTG). As the level of blood pressure (BP)
decreased significantly following antisnake venom (ASV) injection in all three cases, it is likely that snake
venom-induced dysautonomia might have contributed to severe hypertension in such patients. Clinical
and therapeutic challenges of these cases are highlighted, so that practitioners coping with medical
emergencies in resource-limited situations can consider snake (krait) bite in the differential diagnosis,
and also manage effectively according to corroborative clinical evidences.

Key words: Elapid Hypertension Krait Snakebite

Full-text options

Share this Article

Online Article Submission
• ejmanager.com
• ojshosting.net

Do you want to use OJS for your journal ?
work with an experienced partner

Review(er)s Central
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.